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    List Critical Value 2024

    Uploaded by

    Michael Jansen Sulaiman

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    © All Rights Reserved
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    List Critical Value 2024

    Uploaded by

    Michael Jansen Sulaiman
    1 views3 pages

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    1 views3 pages

    List Critical Value 2024

    Uploaded by

    Michael Jansen Sulaiman

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Lampiran 1: Nilai Kritis Hasil Laboratorium

    Pelaporan harus dilakukan segera dalam waktu < 30 menit

    HEMATOLOGI / HEMATOLOGY
    Parameter KritikalRendah Kritikal Unit
    / Critical Low Tinggi /
    Critical
    High
    Hemoglobin / Hemoglobine (birth to 6 days) ≤ 12,0 ≥ 24,8 g/dL
    Hemoglobin / Hemoglobine ≤ 7,0 ≥ 21,0 g/dL
    Hematokrit / Hematocrite (birth to 6 days) ≤ 35 ≥ 82.2 %

    Hematokrit / Hematocrite (> 6 days to adult) ≤ 21 ≥ 65 %

    Jumlah Lekosit / Leucocyte Count ≤ 2.0 ≥ 40 103/uL

    Jumlah Trombosit / Platelet Count ≤ 50 ≥ 1000 103/uL

    APTT None ≥ 85 Seconds


    PT None ≥ 45,0 Seconds
    INR PT ≥ 5,0
    Fibrinogen < 100 None mg/dL
    Malaria / Blast Cells Positif / Positive

    KIMIA KLINIK / CLINICAL CHEMISTRY


    Parameter Rendah / Tinggi / Unit
    Low High
    Amylase
    Analisa Gas Darah / Blood Gas Analysis
     pH < 7,2 > 7,6
     PCO2 ≤ 20 ≥ 60 mm Hg
     PO2(Dewasa / Adult) ≤ 40 - mm Hg
     PO2 (Neonatus /Neonate)
     Bicarbonat (HCO3) < 10 > 40 mmol/L
    Total Bilirubin (< 3 months)
    Total Bilirubin (Dewasa / Adult) None > 15 mg/dL
    Total Calcium <6 > 13 mg/dL
    Troponin-T Kualitatif Positif / Positive -
    Troponon-T Kuantitatif None > 110 ng/L
    Creatinine Kinase (CK)
    CK-MB meningkat dua kali batas nilai normal
    Creatinine (kecuali pasien HD / Except HD > 5,0 mg/dL
    Patient)
    Ureum (kecualipasien HD / Except HD Patient) > 170 mg/dL

    Glukosa / GlucosetermasukPoint of Care Testing


    (POCT)
     Dewasa/ adult < 60 > 450 mg/dL
     Neonatus / Neonate < 40 > 200 mg/dL
    PED-SHG-HA-002 1
    Magnesium < 1,0 > 4,9 mmol/L
    Phosphor < 1,0 > 9,0 mg/dL
    Electolite / Electrolite
     Sodium / Natrium (Na) < 120 > 160 mmol/L
     Potasium / Kalium (K) (dewasa / adult) < 3,0 > 6,1 mmol/L
     Potasium / Kalium (K) (Neonatus / mmol/L
    Neonate)
    Osmolalitasdarah / Blood Osmolality ** ≤ 190 > 390 mOsm/kg
    Lactate *** None > 4,0 mmol/L

    LIQUOR CEREBROSPINAL (CSF)


    Parameter Hasil / Result
    Blast Positif / Positive
    Kultur / Culture Positif / Positive
    Total Sel / Total Cells ** > 100 sel/uL

    MIKROBIOLOGI / MICROBIOLOGY
    Parameter Hasil / Result

    Bakteri Tahan Asam (BTA) / Acid Fast Basilli Positif / Positive


    Kultur Darah / Blood Culture Positif / Positive

    MRSA (Methicillin Resistant Staphylococcus aureus) Positif / Positive

    MRSE (Methicillin ResistantStaphylococcus epidermidis) Positif / Positive

    MDRO (Multidrug-Resistant Organisms) Positif / Positive

    CRE (Carbapenem-resistant Enterobacteriaceae) Positif / Positive

    ESBL (Extended-spectrum β-lactamase) Positif / Positive

    VISA (Vancomycin Intermediate Staphylococcus aureus) Positif / Positive

    VRSA (Vancomycin Resistant Staphylococcus aureus) Positif / Positive

    VRE (Vancomycin Resistant Enterococcus) Positif / Positive

    PATOLOGI ANATOMI / HISTOPATHOLOGY


    Parameter Hasil / Result
    Keganasan / Malignancy Positif / Positive
    Ditemukan ketidak cocokan antara Iya / Yes
    diagnosa Patologi Anatomi dengan
    diagnose klinik / Discrepancy between
    Histopathology and Clinical finding

    Referensi:
    1. ARUP laboratories. Rev 38, August 2021. Critical Values List. (*)
    2. Mayo Medical Laboratories. 2021. DLMP Critical Values / Critical Result List (**)

    PED-SHG-HA-002 2
    3. Stanford healthcare - Critical Value Mar 2022 (***)
    4. WHO. 2010-2015 Asia Pacific Strategy for Strengthening Health Laboratory Services.
    5. Ministry Medical Group, Saint Michael’s Hospital. Canada. 2015. Laboratory Policy and
    Procedure.
    6. American Society for Clinical Pathology. 2011. Critical Value Reporting

    PED-SHG-HA-002 3

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